Dr. Derek L Eisnor, M.D.
Emergency Medicine in Melbourne, FL. Individual provider (NPI-1).
NPI number1992735005
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1992735005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Derek L Eisnor
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | ME0074231 | FL | Yes |
Practice location
2080 W Eau Gallie BlvdSuite A
Melbourne, FL 32935-3185
Phone 321-254-6218 · Fax 321-254-6230
Mailing address
2080 W Eau Gallie BlvdSuite A
Melbourne, FL 32935-3185
Phone 321-254-6218
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